Physical Medicine & Rehabilitation Locum Compensation Benchmarks

Survey data by region and facility setting. Source: BLS OEWS, AMN Healthcare, CHG Healthcare. For informational purposes only.

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Regional Benchmark Data

P25 / Median / P75 hourly rates in $/hr

RegionSettingP25MedianP75Source
NortheastUrban Hospital$195$232$272BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$212$252$298BLS OEWS 2024 + CHG Healthcare 2025 Survey
MidwestUrban Hospital$178$215$252BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$195$235$278BLS OEWS 2024 + CHG Healthcare 2025 Survey
SouthUrban Hospital$170$205$242BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$188$225$265BLS OEWS 2024 + Weatherby Healthcare 2025
WestUrban Hospital$205$245$288BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$222$265$312BLS OEWS 2024 + CHG Healthcare 2025 Survey

Market Overview

PM&R locum demand is growing rapidly driven by inpatient rehabilitation facility (IRF) and long-term acute care (LTAC) requirements for daily physician oversight. The CMS requirement for a physiatrist to lead IRF care has created a predictable demand base. Acute inpatient rehab is the dominant locum segment.

Key Leverage Points

Urban Hospital
  • Inpatient rehabilitation experience with IRF documentation requirements is the key differentiator
  • Spinal cord injury and traumatic brain injury experience opens top-tier rehab hospital assignments
  • EMG/nerve conduction interpretation capability adds value beyond inpatient coverage
  • Amputee rehabilitation experience is in chronic shortage at most VA and IRF settings
Rural Critical Access
  • Rural IRFs often have only one physiatrist — coverage gaps create strong negotiating leverage
  • Swing bed and skilled nursing facility medical director roles supplement IRF coverage income
  • General acute rehabilitation breadth (stroke, ortho, cardiac) is required at rural sites
  • Travel and housing are standard; rural IRFs often offer long-term block arrangements

Contract Review Checklist

Items to review carefully before signing

  • Patient census not defined — IRF medical directors can carry 20–40 patients depending on facility
  • On-call expectations after hours not specified — IRF call is often more demanding than expected
  • Documentation requirements not disclosed — IRF compliance documentation can add 2+ hours daily
  • Non-physician provider supervision scope not defined — many IRFs rely heavily on NPs
Physical Medicine & Rehabilitation Negotiation Toolkit
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